Evidence map›Paper›PMID 38935622›Full record

ArticlePLoS neglected tropical diseases2024

Ongoing transmission of lymphatic filariasis in Samoa 4.5 years after one round of triple-drug mass drug administration.

Helen J Mayfield, Benn Sartorius, Sarah Sheridan, Maddison Howlett, Beatris Mario Martin, Robert Thomsen, Rossana Tofaeono-Pifeleti, Satupaitea Viali, Patricia M Graves, Colleen L Lau

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Progression of lymphatic filariasis antigenaemia and microfilaraemia over 4.5 years in antigen-positive individuals, Samoa 2019-2023.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  7. Recurrence of microfilaraemia after triple-drug therapy for lymphatic filariasis in Samoa: Recrudescence or reinfection?International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Helen J MayfieldUniversity of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-3462-4324
Benn SartoriusUniversity of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.
Sarah SheridanUniversity of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.
Maddison HowlettSchool of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Beatris Mario MartinUniversity of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.
Robert ThomsenSamoa Ministry of Health, Apia, Samoa.
Rossana Tofaeono-PifeletiSchool of Medicine, National University of Samoa, Apia, Samoa.
Satupaitea VialiSchool of Medicine, National University of Samoa, Apia, Samoa.
Patricia M GravesCollege of Public Health, Medical and Veterinary Sciences, James Cook University, Queensland, Australia.
Colleen L LauUniversity of Queensland Centre for Clinical Research, The University of Queensland, Brisbane, Queensland, Australia.

Funding

United States Agency for International Development
6 · The paper itself

Abstract

backgroundLymphatic filariasis (LF) remains a significant global issue. To eliminate LF as a public health problem, the World Health Organization (WHO) recommends multiple rounds of mass drug administration (MDA). In certain scenarios, including when elimination targets have not been met with two-drug MDA, triple-drug MDA (using ivermectin, diethylcarbamazine and albendazole) is recommended. In this study, we report on antigen (Ag) and microfilaria (Mf) prevalence in eight primary sampling units (PSUs) in Samoa 4.5 years after one round of triple-drug MDA. METHODOLOGY: In 2023, community surveys were conducted in eight PSUs that had been surveyed previously in 2018 (between 1.5 and 3.5 months post triple-drug MDA) and 2019 (six to eight-months post triple-drug MDA). Fifteen houses were randomly selected in each PSU with household members aged ≥ 5 years invited to participate. Blood samples were tested for Ag and Mf. PRINCIPAL

findingsAg-positive participants were observed in six of the eight PSUs, and Ag prevalence was significantly above the 1% threshold in four PSUs. The presence of Mf-positive participants in five PSUs confirms the presence of residual active infections. CONCLUSIONS/SIGNIFICANCE: This study provides evidence of persistent LF transmission in Samoa 4.5 years after one round of triple-drug MDA, confirming that one round was insufficient for interruption of transmission in this setting. Our findings highlight the negative impact of delaying MDA rounds, for example, due to public health emergencies.

Indexed as

AlbendazoleDiethylcarbamazineElephantiasis, FilarialFilaricidesIvermectinMass Drug AdministrationAdolescentAdultAgedAnimalsAntigens, HelminthChildChild, PreschoolDrug Therapy, CombinationFemaleHumansAlbendazoleAntigens, HelminthDiethylcarbamazineFilaricidesIvermectin

Identifiers

PMID38935622
PMCPMC11210818

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.